Complications and Side Effects of Fluid Overload
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Questions and Answers

What is the consequence of fluid overload in the brain?

  • Seizures (correct)
  • Tetany
  • Hypertension
  • Peripheral edema
  • Which condition may result from changes in plasma calcium levels?

  • Arrhythmias
  • Pulmonary edema
  • Coma
  • Tetany (correct)
  • In severe cases of electrolyte imbalance, what life-threatening condition may occur?

  • Arrhythmias (correct)
  • Pulmonary edema
  • Peripheral edema
  • Confusion
  • What is the effect of hyperkalemia on the body?

    <p>Cardiac conduction defects</p> Signup and view all the answers

    Which symptom may indicate pulmonary edema due to fluid overload?

    <p>Breathlessness and frothy sputum</p> Signup and view all the answers

    What happens when water moves into cells due to excess fluid distribution?

    <p>Intracellular cell swelling</p> Signup and view all the answers

    Which type of allergic reaction is primarily due to IgE antibody mediated release of mediators from mast cells and basophils?

    <p>Immediate hypersensitivity reactions</p> Signup and view all the answers

    Which factor increases infection risk associated with central venous access devices?

    <p>Duration of catheterization</p> Signup and view all the answers

    Which antiseptic usage is a potential source of allergic reactions in IV therapy?

    <p>Antiseptic used to clean the site</p> Signup and view all the answers

    What is the primary cause of increased infection risk with CVC as compared to peripherally inserted intravenous catheters?

    <p>Catheter type</p> Signup and view all the answers

    Which test is useful in determining an allergic cause of a particular adverse event?

    <p>Cross-reactivity patterns</p> Signup and view all the answers

    Which electrolyte can have a conscious decision made to accept a certain degree of depletion?

    <p>Potassium</p> Signup and view all the answers

    Which type of reaction may vary from mild erythema to severe bronchospasm and anaphylactic shock?

    <p>Anaphylactic reactions</p> Signup and view all the answers

    What is the rate of infection for central venous access devices?

    <p>0.5 to 23.6 episodes per 1,000 catheter days</p> Signup and view all the answers

    What is the risk of infection with CVC as compared to peripherally inserted intravenous catheters?

    <p>3-4 fold increased risk</p> Signup and view all the answers

    Which factor increases infection risk associated with central venous access devices and may be reduced by using single dose containers rather than multi-dose vials?

    <p>Preservatives</p> Signup and view all the answers

    What is the maximum water-excreting capacity of a kidney in an individual with normal renal function?

    <p>About 800-1000 ml/h</p> Signup and view all the answers

    What percentage of a 1L normal saline infusion will be retained in the body?

    <p>66%</p> Signup and view all the answers

    Why are isotonic to hypertonic solutions of glucose in water clinically inferior for the treatment of extracellular volume depletion?

    <p>Due to their sustained retention within the body and obligatory reequilibration with extracellular sodium, leading to increased total body sodium and no effective volume expansion</p> Signup and view all the answers

    What is the ideal practice for fluid and electrolyte administration?

    <p>A written fluid and electrolyte prescription should be used, and reviewed at least daily</p> Signup and view all the answers

    What can be a clue to a significant complication in a mismanaged case of fluid and electrolyte therapy?

    <p>Both a patient's failure to improve as expected and the appearance of unexplained new symptoms</p> Signup and view all the answers

    What is the main determinant of plasma osmolality?

    <p>Plasma sodium</p> Signup and view all the answers

    What are the symptoms caused by hyponatremic encephalopathy?

    <p>Range from a subtle confusion to seizures and coma</p> Signup and view all the answers

    What can be the cause of dilutional hyponatremia?

    <p>Excess water administration</p> Signup and view all the answers

    What can be the consequence of allowing plasma sodium to rise too rapidly?

    <p>Osmotic demyelination of cerebral neurons</p> Signup and view all the answers

    What is a common problem in acute medical emergencies?

    <p>Fluid overload</p> Signup and view all the answers

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